选择性刺激人体鼻腔节点的副交感神经纤维
1Department of Pathology, University Hospitals of Cleveland/Case Western Reserve University, Ohio 44106.
Circulation
|April 1, 1992
概括
人类心表脂肪中的副交感神经纤维可以被刺激以增加心房循环长度. 这种选择性刺激的鼻节神经并没有影响心导电.
科学领域:
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
- 自主神经系统的自主神经系统
背景情况:
- 在动物中,神经元节节点的副交感神经纤维可以增加心房循环的长度.
- 这些神经位于心上脂肪中,靠近鼻腔节点.
- 假设人类存在和刺激类似的神经.
研究的目的:
- 为了研究人类心表脂肪中寄同情神经的存在.
- 为了确定这些神经是否可以被选择性地刺激以影响心率.
- 评估刺激对心房循环长度和心房导电的影响.
主要方法:
- 显微镜检查人体尸检获得的上心脏脂肪.
- 在16名心脏手术患者中,对心上脂肪的电刺激.
- 改变刺激频率 (6.6-30 Hz) 并测量心房周期长度和PR间隔.
主要成果:
- 在人类心表脂肪中发现了神经纤维和质.
- 电刺激显著增加了心房周期长度,以频率依赖的方式.
- 在刺激过程中,心房导电时间和PR间隔保持不变.
结论:
- 人类心表脂肪中的副交感神经纤维可以被选择性地刺激.
- 这种刺激有效地增加了心房周期的长度,而不会影响心房节点导电.
- 这项研究代表了人类第一个选择性刺激的鼻腔节点-化神经.
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